- •Current assessment culture creates a pervasive culture of fixed mindset throughout the continuum of medical training.
- •A cultural shift toward growth mindset would likely increase the accuracy of assessment by allowing learners to share their vulnerabilities, facilitate the transition between undergraduate and graduate medical education, and help our trainees develop into master adaptive learners.
- •Learner-centric coaching and development of new assessment standards can help foster growth mindset in medical training.
Introduction
Relationship Between Assessment and Fixed Mindset in Medical Training
Why Is There a Need for Cultural Shift toward Growth Mindset?
Innovative Strategies to Create a Cultural Growth Mindset Shift through Assessment
Train Faculty and Learners
Develop New Standards Emphasizing Growth Mindset Throughout Medical Training


Standardize Assessment During the Transition from UME to GME
Coalition for Physician Accountability. Initial summary report and preliminary recommendations of the undergraduate medical education to graduate medical education review committee. [Position statement]. 2021. Available at:https://physicianaccountability.org/wp-content/uploads/2021/04/UGRC-Initial-Summary-Report-and-Preliminary-Recommendations-1.pdf. Accessed August 25, 2021.
Incorporate Learner-Centric Coaching to Create Master Adaptive Learners
Conclusion
References
- Growth mindset in competency-based medical education.Med Teach. 2021; 43: 751-757
- Resident perceptions of assessment and feedback in competency-based medical education: a focus group study of one internal medicine residency program.Acad Med. 2020; 95: 1712-1717
- Feedback and coaching.Eur J Pediatr. 2022; 181: 441-446
- Core clerkship grading: the illusion of objectivity.Acad Med. 2019; 94: 469-472
- Resident impression management within feedback conversations: a qualitative study.Med Educ. 2021; 55: 266-274
- Mindset: Changing The Way You Think to Fulfil Your Potential.Little, Brown, London2017
- National survey of wellness programs in U.S. and Canadian medical schools.Acad Med. 2021; 96: 728-735
- From grading to assessment for learning: a qualitative study of student perceptions surrounding elimination of core clerkship grades and enhanced formative feedback.Teach Learn Med. 2021; 33: 314-325
- Association between internal medicine residency applicant characteristics and performance on ACGME milestones during intern year.J Grad Med Educ. 2021; 13: 213-222
- Milestones 2.0 – a growth mindset for internal medicine residency programs.Am J Med. 2020; 133: 1492-1499
- “It's Just Not the Culture": a qualitative study exploring residents' perceptions of the impact of institutional culture on feedback.Teach Learn Med. 2017; 29: 153-161
- Evaluating the reliability and validity evidence of the RIME (Reporter-Interpreter-Manager-Educator) framework for summative assessments across clerkships.Acad Med. 2021; 96: 256-262
- Fostering the development of master adaptive learners: a conceptual model to guide skill acquisition in medical education.Acad Med. 2017; 92: 70-75
- A retrospective analysis of medical student performance evaluations, 2014-2020: recommend with reservations.J Gen Intern Med. 2022; 37: 2217-2223
- Faculty development revisited: a systems-based view of stakeholder development to meet the demands of entrustable professional activity implementation.Acad Med. 2018; 93: 1472-1479
Coalition for Physician Accountability. Initial summary report and preliminary recommendations of the undergraduate medical education to graduate medical education review committee. [Position statement]. 2021. Available at:https://physicianaccountability.org/wp-content/uploads/2021/04/UGRC-Initial-Summary-Report-and-Preliminary-Recommendations-1.pdf. Accessed August 25, 2021.
- What do we know about coaching in medical education? A literature review.Med Educ. 2018; 52: 376-390
- Where philosophy meets culture: exploring how coaches conceptualise their roles.Med Educ. 2019; 53: 467-476
- Faculty development and the growth mindset.Med Educ. 2019; 53: 958-960
- Fostering a feedback mindset: a qualitative exploration of medical students' feedback experiences with longitudinal coaches.Acad Med. 2020; 95: 1057-1065
- Feedback can be less stressful: medical trainee perceptions of using the prepare to ADAPT (Ask-Discuss-Ask-Plan Together) framework.Cureus. 2018; 10: e3718
- R2C2 in action: testing an evidence-based model to facilitate feedback and coaching in residency.J Grad Med Educ. 2017; 9: 165-170
- Mindsets are contagious: the social contagion of implicit theories of intelligence among classmates.Br J Educ Psychol. 2020; 90: 349-363
Article info
Publication history
Footnotes
Funding: The authors report none.
Conflicts of Interest: The authors have no financial conflict of interest to report.
Authorship: All authors had access to patient data and played a role in writing the manuscript.